Selecting the Right Pet for Your Family

How would you describe your lifestyle
Active
Moderately Active
Somewhat Active
Laid Back

List names and ages of ALL members of household

Where will be the cat be kept?
Inside
Outside
Both

How long will the cat be left alone on a typical work day?

Do you plan to declaw your cat/kitten?
Yes
No

Have you ever given any pet away for any reason? If yes, explain.

Current Pets

Please list all of your current pets. If you have more than three pets in your home, please use the space provided beneath these questions and complete the same information for these additional pets in the text area.

#1 Current Pet

Pet's Name

Species

Breed

Sex
Male
Female

Age

Neutered?
Yes
No

Declawed?
Yes
No

Years Owned

#2 Current Pet

Pet's Name

Species

Breed

Sex
Male
Female

Age

Neutered?
Yes
No

Declawed?
Yes
No

Years Owned

#3 Current Pet

Pet's Name

Species

Breed

Sex
Male
Female

Age

Neutered?
Yes
No

Declawed?
Yes
No

Years Owned

Other Current Pets & Spay/Neuter

If you have more then three current pets, please list each additional pets' information as you did for the pets above.

If any of your current pets are NOT spayed/neutered, explain

Past Pets

Please list all of your past pets. If you had more than three pets in the past, please use the space provided beneath these questions and complete the same information for these additional pets in the text area.

#1 Past Pet

Pet's Name

Species

Breed

Sex
Male
Female

Age

Neutered?
Yes
No

Declawed?
Yes
No

Years Owned

If the pet is no longer with you, please list when/how pet was deceased/lost/given away/etc.

#2 Past Pet

Pet's Name

Species

Breed

Sex
Male
Female

Age

Neutered?
Yes
No

Declawed?
Yes
No

Years Owned

If the pet is no longer with you, please list when/how pet was deceased/lost/given away/etc.

#3 Past Pet

Pet's Name

Species

Breed

Sex
Male
Female

Age

Neutered?
Yes
No

Declawed?
Yes
No

Years Owned

If the pet is no longer with you, please list when/how pet was deceased/lost/given away/etc.

Other Past Pets & Spay/Neuter

If you had more then three past pets, please list each additional pets' information as you did for the pets above.

If any of your past pets were NOT spayed/neutered, explain

Home Situation

Do you:
Own
Rent

Do you have a Homeowner's Association or Property Management company?
Yes
No

If you have a landlord, HOA or Property Manager, please list the name and phone number here

Do you plan on moving from your current location in the next three years?
Yes
No

Do you plan on having children in the next 10 years?
Yes
No
Unsure

Are all household member interested in adopting and active in the adoption process?
Yes
No

Care

Is anyone home during the day?
Yes
No

Who will be responsible for caring for this pet?

If you move, what will you do with this animal?

How much do you think it will cost to care for this animal each year?

Do you understand that changing a cat's environment may cause the cat to have accidents?
Yes
No

What circumstances would cause you to return this pet?

If a behavioral problem arises, how will you correct it?

As part of our adoption process, we require a home visit. Are you willing to have a home visit?
Yes
No

If no, explain:

In the past 30 days, have you applied for another dog at another rescue or shelter?
Yes
No

Have you adopted from ARI previously?
Yes
No

If yes, who/when:

Personal References

IMPORTANT: Only one personal reference can be related to you. Do not use your vet as a personal reference. Please call your references after you complete this application to let them know we will be calling them. This will save time in the application process.

#1 Reference

Reference Full Name

Reference Phone

Reference Relationship

#2 Reference

Reference Full Name

Reference Phone

Reference Relationship

#3 Reference

Reference Full Name

Reference Phone

Reference Relationship

Veterinary References

Name of veterinarian of current (or recent) pets

Name of veterinarian of past pets

In whose name(s) are the vet records listed?

Relative Information

Relative's Full Name

Relative's Phone

Relative's Relationship

Employment

Applicant's Employer

Co-Applicant's Employer

Disclaimer

I have read the above information carefully and have filled out the application honestly. I understand that omission of information and/or failure to answer all questions can result in the application being denied. I also understand the adoption decision is dependent on many factors, including but not limited to compatibility of the family and home to the individual animal. Animal Rescue, Inc. reserves the right to refuse the adoption of an animal to anyone for any reason. By signing this form, I authorize the release of my pet’s (or pets’) medical information from the veterinarian or animal hospital listed on this application.

Applicant: Typing your name here serves as an e-signature agreeing to the Disclaimer above.

Co-Applicant: Typing your name here serves as an e-signature agreeing to the Disclaimer above.

Today's Date (MM/DD/YY)

Thank you for your application!

We appreciate your submitting an application to change an animal's life! Both the adoption and foster processes can take up to 14 days to complete. We appreciate your patience during this process. Calling your personal and veterinary references in advance to let them know the rescue will be calling them may help in the process. Thank you!